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"1e'�`'�gY`�F ^.ONSTRUCTION <br />everett PERM IT <br />arv Hnu zsr�-r,4s PERMIT N0. �.O rJ % H <br />EVERETf,1vA 98207 ❑ COMBINA710N ❑ BUILDING �JcMECHANICAL ❑ pL�JM6ING <br />OWIJER MAILA�DRE55 GIiY ZIP <br />PNONE <br />Steve Mi11er 8421 7th Avenue Everett 98203 <br />ARCHITECT OR DESIGNER NAIL RDDRE55 ��ty <br />l��' Pr/ONE <br />GENE�1ALrpNTPACtOR MFILPDDRESS QiY ZIP <br />PHON6 IICENSE � <br />MfCMPNICAL CANTRACTOR MAI1,qDDRE55 pTY <br />Natural Gas Equipment l�ll East Grand Everett 98201 258-2441 �'cer�se� <br />PLUlABINGCONiRFCiOR MAIIApDRESS CITV Zlp — <br />PNOIIE �ICENSE 1 <br />GLA55 G° WORH <br />nNEW <br />�AWATION OF WORK <br />3 <br />�ESCRIpE R'O9K <br />PROPOSEp USE OF BUILDING <br />IEGAL DESCrIPTION OF PRUPERi <br />LOi BLOCK_OF <br />❑PDDITION ❑ALTERATION ❑REPAIR ❑DEMOUTIOW ❑FENCE ❑SIti1J ❑GARAGc <br />JOA FDURE55 � <br />8421 7th Avenue : <br />PLUMBING <br />NO. TYPE OF FIXTURE OR <br />tvntea aoser irou F.� <br />URINAL <br />BREnKERS <br />>INS — f7A <br />wrc ._ An <br />SI�E YAHO SEIBACP: <br />USE ZONE <br />TYPE OF CONST. <br />SIZE OF �LDG. <br />SUBTOTAL <br />PEFMIT <br />TOTAL FEE <br />57pLET SETBACK <br />LOT AREA <br />OCCUPANCV GROUP <br />NO OF STOP.IES <br />L ENVIFONIdENTAL CHECK LIST <br />2. BUILDING PLAIdS <br />3. FIRE HYDRANT __ <br />4. FiRE PROTECT'ON SYSTEM <br />6. GRADING <br />6. CFAINAGE <br />Z ENVIRONMENTALIMPACTSTATEMENT <br />0. HEALTII DIS7RI�T <br />APPLICATION ACC. Bv 7�N5 CHECKED BY <br />PEE <br />REAR YARD SETBACK <br />VACANT SITE <br />iYES ❑NO <br />N0. OF OW'cLLING UNITS <br />MAX.00C.LOAD <br />FlR't SPRINKL[RS <br />FEOUIRED <br />!�IYES i.-:NO-- <br />BY I DA7E <br />APPR. FOR ISSUANCE BV <br />I HEREBY CERTIFY THP.T I HAVE READ AND EXAMINED THIS AF- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GpVERNING ?Hlu <br />TYPE OF WORK WILL BE COMPLIED WITH VVHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTIMU' OF A PERMIT DOcS NOT <br />PRESUME TO GIVE AU'i riORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAi_ L4W REGULPTING <br />CONSTRUCTION OR THE PERFORFAANCE OF CONS7RUCTIGN <br />SIGlJAPJREOIFCGNiqAGiOHORAU➢�ORREpHGENi pATE <br />�1l.t�f �.f���:.a�13 tl,;' . 5/ 2 G/ 8 2 <br />MECN NICAL �r <br />N�'. TYPE OF EQUIPMENT FeF <br />D UNIiS— <br />r1th��IGtHATION UNITS — H.P. <br />6011ER5 — M.P. EA <br />GAS RRED A.C. UNITS — TONI <br />FORCED AIR SVSTEH�S — B.T.L <br />WALL H[ATC.fiS — B T.U. <br />UNIT HEATEf�S — 6 T ll. <br />M EA. <br />M <br />CIOTNES �RY[RS <br />VENiILATION FAN <br />NANGEHOOD <br />AIR HANDLING UNIi — 0.F.h1. <br />STOVE <br />METAL RFLPLACE 8 ;HIMNF.v <br />1 Conversiou Burner q <br />SUB TOTAL S 4 <br />PERMI7 S 3 <br />TOTALFEE S 7 <br />IJ CHECK NUM�ER PLAN .;HFCK FEE <br />— FEE I RECEIPT N0. <br />FEES VALUATION FEe <br />BUILDING <br />PLUMBING <br />4 <br />OTHER � <br />PENALTV LL�.0 <br />SEC.303�e) <br />TO7AL <br />% rJ� <br />PERMIT VALIDAT�ON <br />N'H:N PqOPERLY VALIDATED !IN THIS SPACE) THI515 YOUR PERMIT <br />�at9 E001.5fl--�4 <br />ti <br />�7 <br />Yt�};42 RE�EFP� <br />� TFiANK YOU <br />a�naess Fi�� <br />2OudY $Z <br />(i <br />J <br />� <br />